Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 5501009927 | MI |
NPI | 1033517743 |
---|---|
Provider Name | Richard A Chaperon |
First Address | Saline, MI 48176-1313 |
Second Address | Saline, MI 48176-1313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2014 |
Last Update Date | 11/12/2014 |